Download or read book The Blame Machine Why Human Error Causes Accidents written by Robert Whittingham and published by Taylor & Francis. This book was released on 2004-02-18 with total page 285 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Blame Machine describes how disasters and serious accidents result from recurring, but potentially avoidable, human errors. It shows how such errors are preventable because they result from defective systems within a company. From real incidents, you will be able to identify common causes of human error and typical system deficiencies that have led to these errors. On a larger scale, you will be able to see where, in the organisational or management systems, failure occurred so that you can avoid them. The book also describes the existence of a 'blame culture' in many organisations, which focuses on individual human error whilst ignoring the system failures that caused it. The book shows how this 'blame culture' has, in the case of a number of past accidents, dominated the accident enquiry process hampering a proper investigation of the underlying causes. Suggestions are made about how progress can be made to develop a more open culture in organisations, both through better understanding of human error by managers and through increased public awareness of the issues. The book brings together documentary evidence from recent major incidents from all around the world and within the Rail, Water, Aviation, Shipping, Chemical and Nuclear industries. Barry Whittingham has worked as a senior manager, design engineer and consultant for the chemical, nuclear, offshore oil and gas, railway and aviation sectors. He developed a career as a safety consultant specializing in the human factors aspects of accident causation. He is a member of the Human Factors in Reliability Group, and a Fellow of the Safety and Reliability Society.
Download or read book A Human Error Approach to Aviation Accident Analysis written by Douglas A. Wiegmann and published by Routledge. This book was released on 2017-12-22 with total page 174 pages. Available in PDF, EPUB and Kindle. Book excerpt: Human error is implicated in nearly all aviation accidents, yet most investigation and prevention programs are not designed around any theoretical framework of human error. Appropriate for all levels of expertise, the book provides the knowledge and tools required to conduct a human error analysis of accidents, regardless of operational setting (i.e. military, commercial, or general aviation). The book contains a complete description of the Human Factors Analysis and Classification System (HFACS), which incorporates James Reason's model of latent and active failures as a foundation. Widely disseminated among military and civilian organizations, HFACS encompasses all aspects of human error, including the conditions of operators and elements of supervisory and organizational failure. It attracts a very broad readership. Specifically, the book serves as the main textbook for a course in aviation accident investigation taught by one of the authors at the University of Illinois. This book will also be used in courses designed for military safety officers and flight surgeons in the U.S. Navy, Army and the Canadian Defense Force, who currently utilize the HFACS system during aviation accident investigations. Additionally, the book has been incorporated into the popular workshop on accident analysis and prevention provided by the authors at several professional conferences world-wide. The book is also targeted for students attending Embry-Riddle Aeronautical University which has satellite campuses throughout the world and offers a course in human factors accident investigation for many of its majors. In addition, the book will be incorporated into courses offered by Transportation Safety International and the Southern California Safety Institute. Finally, this book serves as an excellent reference guide for many safety professionals and investigators already in the field.
Download or read book The Field Guide to Human Error Investigations written by Sidney Dekker and published by Routledge. This book was released on 2017-11-01 with total page 137 pages. Available in PDF, EPUB and Kindle. Book excerpt: This title was first published in 2002: This field guide assesses two views of human error - the old view, in which human error becomes the cause of an incident or accident, or the new view, in which human error is merely a symptom of deeper trouble within the system. The two parts of this guide concentrate on each view, leading towards an appreciation of the new view, in which human error is the starting point of an investigation, rather than its conclusion. The second part of this guide focuses on the circumstances which unfold around people, which causes their assessments and actions to change accordingly. It shows how to "reverse engineer" human error, which, like any other componant, needs to be put back together in a mishap investigation.
Download or read book Investigating Human Error written by Barry Strauch and published by Routledge. This book was released on 2018-05-08 with total page 261 pages. Available in PDF, EPUB and Kindle. Book excerpt: This title was first published in 2002: This volume presents a method to investigate the human performance issues associated with an accident or incident, with a detailed discussion of the types of data to collect, and methods of collecting and analyzing data. The book should be of interest to accident/incident investigators, specialists in nuclear, chemical processing, aviation and other critical industries, safety experts, researchers and students in the field of human error, human factors, ergonomics and industrial engineering, and government agencies for regulation, health and safety.
Download or read book Behind Human Error written by David D. Woods and published by CRC Press. This book was released on 2017-09-18 with total page 292 pages. Available in PDF, EPUB and Kindle. Book excerpt: Human error is cited over and over as a cause of incidents and accidents. The result is a widespread perception of a 'human error problem', and solutions are thought to lie in changing the people or their role in the system. For example, we should reduce the human role with more automation, or regiment human behavior by stricter monitoring, rules or procedures. But in practice, things have proved not to be this simple. The label 'human error' is prejudicial and hides much more than it reveals about how a system functions or malfunctions. This book takes you behind the human error label. Divided into five parts, it begins by summarising the most significant research results. Part 2 explores how systems thinking has radically changed our understanding of how accidents occur. Part 3 explains the role of cognitive system factors - bringing knowledge to bear, changing mindset as situations and priorities change, and managing goal conflicts - in operating safely at the sharp end of systems. Part 4 studies how the clumsy use of computer technology can increase the potential for erroneous actions and assessments in many different fields of practice. And Part 5 tells how the hindsight bias always enters into attributions of error, so that what we label human error actually is the result of a social and psychological judgment process by stakeholders in the system in question to focus on only a facet of a set of interacting contributors. If you think you have a human error problem, recognize that the label itself is no explanation and no guide to countermeasures. The potential for constructive change, for progress on safety, lies behind the human error label.
Download or read book There Are No Accidents written by Jessie Singer and published by Simon and Schuster. This book was released on 2023-02-28 with total page 352 pages. Available in PDF, EPUB and Kindle. Book excerpt: A journalist recounts the surprising history of accidents and reveals how they’ve come to define all that’s wrong with America. We hear it all the time: “Sorry, it was just an accident.” And we’ve been deeply conditioned to just accept that explanation and move on. But as Jessie Singer argues convincingly: There are no such things as accidents. The vast majority of mishaps are not random but predictable and preventable. Singer uncovers just how the term “accident” itself protects those in power and leaves the most vulnerable in harm’s way, preventing investigations, pushing off debts, blaming the victims, diluting anger, and even sparking empathy for the perpetrators. As the rate of accidental death skyrockets in America, the poor and people of color end up bearing the brunt of the violence and blame, while the powerful use the excuse of the “accident” to avoid consequences for their actions. Born of the death of her best friend, and the killer who insisted it was an accident, this book is a moving investigation of the sort of tragedies that are all too common, and all too commonly ignored. In this revelatory book, Singer tracks accidental death in America from turn of the century factories and coal mines to today’s urban highways, rural hospitals, and Superfund sites. Drawing connections between traffic accidents, accidental opioid overdoses, and accidental oil spills, Singer proves that what we call accidents are hardly random. Rather, who lives and dies by an accident in America is defined by money and power. She also presents a variety of actions we can take as individuals and as a society to stem the tide of “accidents”—saving lives and holding the guilty to account.
Download or read book Advanced Safety Management Focusing on Z10 and Serious Injury Prevention written by Fred A. Manuele and published by John Wiley & Sons. This book was released on 2011-09-20 with total page 300 pages. Available in PDF, EPUB and Kindle. Book excerpt: Learn how to improve the effectiveness of safety and health management systems by adopting ANSI Z10 provisions and avoid serious workplace injuries. This reference addresses specific provisions, including risk assessment methods and prioritization; applying a prescribed hierarchy of controls; implementing safety design reviews; and more. It also explains how to integrate best practices for the prevention of serious injuries in your workplace. See how implementing the ANSI Z10 standard can enhance your company’s productivity, cost efficiency, and quality.
Download or read book Safety and Human Error in Engineering Systems written by B.S. Dhillon and published by CRC Press. This book was released on 2012-07-05 with total page 250 pages. Available in PDF, EPUB and Kindle. Book excerpt: In an approach that combines coverage of safety and human error into a single volume, Safety and Human Error in Engineering Systems eliminates the need to consult many different and diverse sources for those who need information about both topics. The book begins with an introduction to aspects of safety and human error and a discussion of mathemat
Download or read book Advanced Safety Management written by Fred A. Manuele and published by John Wiley & Sons. This book was released on 2014-03-26 with total page 482 pages. Available in PDF, EPUB and Kindle. Book excerpt: Provides guidance to managers, safety professionals, educators and students on having operational risk management systems that meet the requirements of Z10. Emphasizes Management Leadership and Employee Involvement, the most important section in Z10, with particular reference to contributions that employees can make. A new provision was added to Z10 on Risk Assessment which along with Avoidance of Human Error is addressed. Revised and expanded coverage of Management of Change and The Procurement Process New chapters cover Macro Thinking – The Socio-Technical Model; Safety Professionals as Culture Change Agents; Prevention through Design, and A Primer on System Safety
Download or read book Ten Questions About Human Error written by Sidney Dekker and published by CRC Press. This book was released on 2004-12-27 with total page 233 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ten Questions About Human Error asks the type of questions frequently posed in incident and accident investigations, people's own practice, managerial and organizational settings, policymaking, classrooms, Crew Resource Management Training, and error research. It is one installment in a larger transformation that has begun to identify both deep-rooted constraints and new leverage points of views of human factors and system safety. The ten questions about human error are not just questions about human error as a phenomenon, but also about human factors and system safety as disciplines, and where they stand today. In asking these questions and sketching the answers to them, this book attempts to show where current thinking is limited--where vocabulary, models, ideas, and notions are constraining progress. This volume looks critically at the answers human factors would typically provide and compares/contrasts them with current research insights. Each chapter provides directions for new ideas and models that could perhaps better cope with the complexity of the problems facing human error today. As such, this book can be used as a supplement for a variety of human factors courses.
Download or read book An Engineer s View of Human Error written by Trevor A. Kletz and published by IChemE. This book was released on 2001 with total page 308 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is an updated and expanded new edition of Trevor Kletz's work, including more examples of accidents caused by the various types of human error. It suggests to engineers how they might approach the problem of human error, and does so by describing accidents, which at first sight seem to be the result of human error. The author sets down his views on human error as a cause of accidents and illustrates them by describing a number of accidents that have occurred, mainly in the oil and chemical industries. He uses a pragmatic approach, rather than theoretical, to suggest new ways of looking at accident prevention.
Download or read book Embodied Minds technical Environments written by Thomas Hoff and published by Tapir Academic Press. This book was released on 2008 with total page 284 pages. Available in PDF, EPUB and Kindle. Book excerpt: The deep integration of technology into our modern society forces us to rethink the relationship humans have to their surroundings. The rise of complex socio-technical systems denotes how humans and technology have entered a symbiotic relationship where the coordinated and fluent interaction between the two is a crucial condition for modern societies to function. The disharmony in the relationship between humans and technology has immediate and serious consequences. Accidents and failed operations in transport, incomprehensible user interfaces, and failure to learn from experience are all examples from everyday life, suggesting that the understanding of human-technology relationships is not sufficient. This book investigates how humans relate to technology in our modern society, and how the basic assumption of human thought and behavior guide human efforts to improve and control technology. The fact is that the skilled use of technology in expert systems and everyday life challenges the traditional conception of humans and technology as two separate elements in the analysis of work. The book shows how this dualism is evident and problematic in a wide range of areas, such as investigation of human error in accidents, case studies of innovative interface solutions, simulator training strategies, analysis of work practices in complex systems, and traffic safety research. Embodied Minds - Technical Environments supplements the ongoing effort to understand how technology can be integrated with more confidence in modern society.
Download or read book Error Logic Paving Pathways for Intelligent Error Identification and Management written by Shiyong Liu and published by Springer Nature. This book was released on 2023-03-07 with total page 619 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book offers a brand-new theoretical system and relevant tools for intelligently identifying errors in the decision-making process, investigating the complexities and erring mechanisms of dysfunctional socioeconomic systems, and therefore helping design error-proof systems. The error logic is invented to pioneer a new branch for the field of logic, which can be applied to various fields including mathematics, philosophy, computer science, artificial intelligence, linguistics, management science, and systems science. Researchers, postgraduates, and undergraduates in relevant fields can use it as a reference for enhancing their understanding of the tempo-spatial dynamics and transformation of errors in complicated systems. The manuscript also provides vivid and thought-provoking examples and applications to help readers understand how to apply the concepts and theory in real socioeconomic systems.
Download or read book Engineering a Safer World written by Nancy G. Leveson and published by MIT Press. This book was released on 2012-01-13 with total page 555 pages. Available in PDF, EPUB and Kindle. Book excerpt: A new approach to safety, based on systems thinking, that is more effective, less costly, and easier to use than current techniques. Engineering has experienced a technological revolution, but the basic engineering techniques applied in safety and reliability engineering, created in a simpler, analog world, have changed very little over the years. In this groundbreaking book, Nancy Leveson proposes a new approach to safety—more suited to today's complex, sociotechnical, software-intensive world—based on modern systems thinking and systems theory. Revisiting and updating ideas pioneered by 1950s aerospace engineers in their System Safety concept, and testing her new model extensively on real-world examples, Leveson has created a new approach to safety that is more effective, less expensive, and easier to use than current techniques. Arguing that traditional models of causality are inadequate, Leveson presents a new, extended model of causation (Systems-Theoretic Accident Model and Processes, or STAMP), then shows how the new model can be used to create techniques for system safety engineering, including accident analysis, hazard analysis, system design, safety in operations, and management of safety-critical systems. She applies the new techniques to real-world events including the friendly-fire loss of a U.S. Blackhawk helicopter in the first Gulf War; the Vioxx recall; the U.S. Navy SUBSAFE program; and the bacterial contamination of a public water supply in a Canadian town. Leveson's approach is relevant even beyond safety engineering, offering techniques for “reengineering” any large sociotechnical system to improve safety and manage risk.
Download or read book The Field Guide to Understanding Human Error written by Professor Sidney Dekker and published by Ashgate Publishing, Ltd.. This book was released on 2014-12-28 with total page 249 pages. Available in PDF, EPUB and Kindle. Book excerpt: This latest edition of The Field Guide to Understanding ‘Human Error' will help you understand how to move beyond 'human error'; how to understand accidents; how to do better investigations; how to understand and improve your safety work. You will be invited to think creatively and differently about the safety issues you and your organization face. In each, you will find possibilities for a new language, for different concepts, and for new leverage points to influence your own thinking and practice, as well as that of your colleagues and organization.
Download or read book New Technology and Human Error written by Jens Rasmussen and published by . This book was released on 1987 with total page 384 pages. Available in PDF, EPUB and Kindle. Book excerpt: Covers cognitive aspects of human error, as well as errors deriving from affective, motivational or environmental factors. Includes a taxonomic framework that encompasses both the psychological roots of systematic error forms and the local environmental factors which elicit them.
Download or read book Guide to Applying Human Factors Methods written by Carlo Cacciabue and published by Springer Science & Business Media. This book was released on 2013-04-17 with total page 354 pages. Available in PDF, EPUB and Kindle. Book excerpt: Human error plays a significant role in many accidents involving safety-critical systems, and it is now a standard requirement in both the US and Europe for Human Factors (HF) to be taken into account in system design and safety assessment. This book will be an essential guide for anyone who uses HF in their everyday work, providing them with consistent and ready-to-use procedures and methods that can be applied to real-life problems. The first part of the book looks at the theoretical framework, methods and techniques that the engineer or safety analyst needs to use when working on a HF-related project. The second part presents four case studies that show the reader how the above framework and guidelines work in practice. The case studies are based on real-life projects carried out by the author for a major European railway system, and in collaboration with international companies such as the International Civil Aviation Organisation, Volvo, Daimler-Chrysler and FIAT.
